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Masland SR, Victor SE, Peters JR, Fitzpatrick S, Dixon-Gordon KL, Bettis AH, Navarre KM, Rizvi SL. Destigmatizing Borderline Personality Disorder: A Call to Action for Psychological Science. PERSPECTIVES ON PSYCHOLOGICAL SCIENCE 2023; 18:445-460. [PMID: 36054911 DOI: 10.1177/17456916221100464] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Despite recognition that borderline personality disorder (BPD) is one of the most stigmatized psychological disorders, destigmatization efforts have thus far focused on the views and actions of clinicians and the general public, neglecting the critical role that psychological science plays in perpetuating or mitigating stigma. This article was catalyzed by recent concerns about how research and editorial processes propagate stigma and thereby fail people with BPD and the scientists who study BPD. We provide a brief overview of the BPD diagnosis and its history. We then review how BPD has been stigmatized in psychological science, the gendered nature of BPD stigma, and the consequences of this stigmatization. Finally, we offer specific recommendations for researchers, reviewers, and editors who wish to use science to advance our understanding of BPD without perpetuating pejorative views of the disorder. These recommendations constitute a call to action to use psychological science in the service of the public good.
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Affiliation(s)
| | - Sarah E Victor
- Department of Psychological Sciences, Texas Tech University
| | - Jessica R Peters
- Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University
| | | | | | - Alexandra H Bettis
- Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center
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The self-concepts of people with Dark Triad traits tend to be weaker, less clearly defined, and more state-related. PERSONALITY AND INDIVIDUAL DIFFERENCES 2021. [DOI: 10.1016/j.paid.2021.110977] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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Otto B, Kokkelink L, Brüne M. Borderline Personality Disorder in a "Life History Theory" Perspective: Evidence for a Fast "Pace-of-Life-Syndrome". Front Psychol 2021; 12:715153. [PMID: 34381406 PMCID: PMC8350476 DOI: 10.3389/fpsyg.2021.715153] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Accepted: 06/25/2021] [Indexed: 01/31/2023] Open
Abstract
"Borderline Personality Disorder" (BPD) is associated with heightened risk for cardiovascular disease and other stress-associated somatic consequences, which is poorly understood in terms of causal mechanisms, such as childhood trauma. Here, we tested the hypothesis suggesting that BPD reflects a fast "Pace-of-Life-Syndrome" (PoLS). Ninety-five women (44 diagnosed with BPD) were recruited to examine psychological correlates of PoLS, including life history features, personality dimensions, aggressiveness, chronic stress, borderline symptom severity, childhood trauma, and allostatic load (AL). In line with expectations, BPD patients had significantly higher scores suggestive of a fast PoLS than controls, they were more aggressive, more burdened with chronic stress and were exposed to more severe childhood adversity. Childhood trauma predicted PoLS, which in turn predicted AL. The present study thus provides direct evidence of psychological and somatic traits associated with the fast end of the PoLS spectrum in females with BPD. Findings are discussed with regard to clinical implications.
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Affiliation(s)
| | | | - Martin Brüne
- LWL University Hospital Bochum, Department of Psychiatry, Psychotherapy and Preventive Medicine, Division of Social Neuropsychiatry and Evolutionary Medicine, Ruhr-University Bochum, Bochum, Germany
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Láng A, Birkás B, Zsidó AN, Ipolyi D, Meskó N. It Takes Two to Tango: Development, Validation, and Personality Correlates of the Acceptance of Sugar Relationships in Older Men and Women Scale (ASR-OMWS). Front Psychol 2021; 12:592138. [PMID: 33897521 PMCID: PMC8062713 DOI: 10.3389/fpsyg.2021.592138] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2020] [Accepted: 03/12/2021] [Indexed: 11/13/2022] Open
Abstract
Sugar relationships can be considered contemporary forms of transactional sex, that is, offering sexual services for material resources or other benefits. Considering the common age differences in these relationships, sugar relationships might be of relevance for older adults as well on the mating market. As a sequel to Birkás et al. (2020), in the present study, an attitude scale was developed to assess older women’s and men’s acceptance of sugar relationships. We also explored whether the acceptance of sugar relationships was associated with love styles, sociosexual orientation, sexual motivation, and certain socially aversive personality traits. In two online studies with a total number of 836 participants (N = 277 women and 559 men), the results showed that the Acceptance of Sugar Relationships in Older Men and Women Scale (ASR-OMWS) proved to be a reliable and conceptually valid measure of older individuals’ attitude toward sugar relationships. A more accepting attitude toward sugar relationships was found to be associated with more unrestricted sociosexuality, preference to engage in playful love relationships and more self-focused sexual motivation (study 1; N = 481, 167 women and 314 men), and with more pronounced Dark Triad and borderline traits (study 2; N = 355, 110 women and 245 men). Our findings are discussed in an evolutionary framework.
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Affiliation(s)
- András Láng
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Béla Birkás
- Department of Behavioral Sciences, Medical School, University of Pécs, Pécs, Hungary
| | - András N Zsidó
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Dóra Ipolyi
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - Norbert Meskó
- Institute of Psychology, University of Pécs, Pécs, Hungary
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Birkás B, Meskó N, Zsidó AN, Ipolyi D, Láng A. Providing Sexual Companionship for Resources: Development, Validation, and Personality Correlates of the Acceptance of Sugar Relationships in Young Women and Men Scale (ASR-YWMS). Front Psychol 2020; 11:1135. [PMID: 32581952 PMCID: PMC7285874 DOI: 10.3389/fpsyg.2020.01135] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2020] [Accepted: 05/04/2020] [Indexed: 12/02/2022] Open
Abstract
A sugar relationship is a transactional sexual relationship in which a younger partner (sugar baby/boy) offers companionship and sexual services to a much older partner (sugar daddy/mommy) in return for material compensation. One aim of the present study was to develop an attitude scale assessing young women's and men's acceptance of sugar relationships. Another aim was to explore the possible associations of the acceptance of sugar relationships with psychological functioning in an intimate partner relationship and in a sexual relationship and with certain socially undesirable personality traits. Two online studies were conducted with a total number of 2052 participants (1879 women; age = 18-28 years). The results show that the Acceptance of Sugar Relationships in Young Women and Men Scale (ASR-YWMS) is a reliable and valid measure of young people's attitude toward sugar relationships. The studies revealed that young women's and men's accepting attitude toward sugar relationships was positively associated with unrestricted sociosexuality, a game-playing love style (Ludus), self-focused sexual motivation (Study 1; N = 319; 272 women and 47 men), and with socially undesirable traits such as Machiavellianism, subclinical psychopathy, and a borderline personality organization (Study 2; N = 1733; 1607 women and 126 men). These findings suggest that a relatively high level of acceptance of sugar relationships is part of a mating strategy focused on opportunities of maximizing resources. This utilitarian, risk-taking and exploitative attitude is characteristic to a fast life history strategy, and it is a fundamental organizing principle of psychological and sexual functioning in intimate partner relationships.
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Affiliation(s)
- Béla Birkás
- Medical School, University of Pécs, Pécs, Hungary
| | - Norbert Meskó
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | | | - Dóra Ipolyi
- Institute of Psychology, University of Pécs, Pécs, Hungary
| | - András Láng
- Institute of Psychology, University of Pécs, Pécs, Hungary
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Monaghan C, Bizumic B, Sellbom M. Nomological network of two-dimensional Machiavellianism. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.paid.2018.03.047] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Láng A. Mama Mach and Papa Mach: Parental Machiavellianism in Relation to Dyadic Coparenting and Adolescents' Perception of Parental Behaviour. EUROPES JOURNAL OF PSYCHOLOGY 2018; 14:107-124. [PMID: 29899801 PMCID: PMC5973520 DOI: 10.5964/ejop.v14i1.1474] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2017] [Accepted: 09/12/2017] [Indexed: 11/20/2022]
Abstract
Parental personality is a main contributor to parenting outcomes. However, research on parental personality and parenting or coparenting behaviour is scarce. These few studies showed that disagreeableness and neuroticism are consequently related to negative parenting outcomes. Machiavellianism is an antagonistic and socially aversive personality trait. Machiavellianism has been linked to unfavourable outcomes in several different types of relationships (e.g., romantic relationships, workplace relationships). Using self-report measures, I investigated the association between parental Machiavellianism, adolescents’ perceptions of parenting behaviour, and parent reported coparenting in a sample of 98 families raising adolescents. According to the results, Machiavellianism was positively related to adolescents’ perceptions of rejecting and overprotective parenting behaviour in mothers. With regard to coparenting, fathers’ Machiavellianism had a negative effect both on their own and on their spouses’ reports of coparenting quality. Differences between fathers’ and mothers’ results are discussed with regard to their functions in the parent-child interaction and in the spousal dyad.
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Affiliation(s)
- András Láng
- Institute of Psychology, University of Pécs, Pécs, Hungary
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Láng A, Birkás B, Martin L, Nagy T, Kállai J. Schizotypal Traits and the Dark Triad From an Ecological Perspective: A Nonclinical Sample Study. Psychol Rep 2018; 121:996-1012. [PMID: 29298579 DOI: 10.1177/0033294117742655] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The Dark Triad is a collection of socially aversive personality traits, namely subclinical psychopathy, Machiavellianism, and subclinical narcissism. These deviant traits, however, contribute to the success of individuals with dark personality traits. Therefore, Dark Triad traits can be conceived as pseudopathologies. Schizotypal traits have also been studies from the perspective of behavioral adaptations. In this study, we investigated whether schizotypal traits were associated with the Dark Triad traits and how schizotypal symptoms can be considered as parts of dark interpersonal strategies that contribute to the individual success of people with dark personality traits. A sample of 277 university students (198 females and 79 males; Mage = 20.64; SDage = 2.15) were recruited to fill out the Short Dark Triad and the Schizotypal Personality Questionnaire-Brief Revised. Statistical analyses revealed that Machiavellianism was positively associated with restricted emotional and social life. Narcissism was negatively associated with interpersonal problems. Psychopathy was positively associated with distorted perceptions/cognitions and disorganization. Results of the study are discussed within a behavioral ecology framework. This perspective emphasizes the adaptive values connected to schizotypal personality traits. We further discuss how these adaptive traits fit into strategies of individuals with Dark Triad traits, and how these schizotypal traits might restrict or further promote their individual success.
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Affiliation(s)
- András Láng
- Institute of Psychology, University of Pécs, Hungary
| | - Béla Birkás
- Institute of Behavioural Sciences, University of Pécs, Hungary
| | - László Martin
- Institute of Pedagogy, University of Kaposvár, Hungary
| | - Tünde Nagy
- Institute of Behavioural Sciences, University of Pécs, Hungary
| | - János Kállai
- Institute of Behavioural Sciences, University of Pécs, Hungary
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Láng A, Abell L. Relationship between interparental functioning and adolescents' level of Machiavellianism: A multi-perspective approach. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.paid.2017.08.043] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Brüne M. Borderline Personality Disorder: Why 'fast and furious'? EVOLUTION MEDICINE AND PUBLIC HEALTH 2016; 2016:52-66. [PMID: 26929090 PMCID: PMC4782519 DOI: 10.1093/emph/eow002] [Citation(s) in RCA: 38] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 09/13/2015] [Accepted: 01/14/2016] [Indexed: 12/15/2022]
Abstract
The term 'Borderline Personality Disorder' (BPD) refers to a psychiatric syndrome that is characterized by emotion dysregulation, impulsivity, risk-taking behavior, irritability, feelings of emptiness, self-injury and fear of abandonment, as well as unstable interpersonal relationships. BPD is not only common in psychiatric populations but also more prevalent in the general community than previously thought, and thus represents an important public health issue. In contrast to most psychiatric disorders, some symptoms associated with BPD may improve over time, even without therapy, though impaired social functioning and interpersonal disturbances in close relationships often persist. Another counterintuitive and insufficiently resolved question is why depressive symptoms and risk-taking behaviors can occur simultaneously in the same individual. Moreover, there is an ongoing debate about the nosological position of BPD, which impacts on research regarding sex differences in clinical presentation and patterns of comorbidity.In this review, it is argued that many features of BPD may be conceptualized within an evolutionary framework, namely behavioral ecology. According to Life History Theory, BPD reflects a pathological extreme or distortion of a behavioral 'strategy' which unconsciously aims at immediate exploitation of resources, both interpersonal and material, based on predictions shaped by early developmental experiences. Such a view is consistent with standard medical conceptualizations of BPD, but goes beyond classic 'deficit'-oriented models, which may have profound implications for therapeutic approaches.
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Affiliation(s)
- Martin Brüne
- LWL University Hospital, Department of Psychiatry, Psychotherapy and Psychiatric Preventive Medicine, Division of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, Ruhr-University Bochum, Germany
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